• Proceedings of the Korea Concrete Institute Conference
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• 2000.10b
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• pp.1063-1068
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• 2000

Latex modified concrete (LMC) has grown to be accepted as a standard material of construction overlaying bridge decks in America due to its superior physical and chemical properties. The properties of latex, combined with the low water-cement ratio, produce a concrete that has improved flexural, tensile, and bond strength, lower modulus of elasticity, increased freeze-thaw resistance, and reduced permeability compared to conventional concrete of similar mix design. LMC overlays have been service in excellence for 30 years on thousands of bridge in U.S.A. This may, also, prolong the life cycle of bridge deck once it is adopted in Korea. The self-contained, mobile, continuous mixer is most appropriate particularly for concrete quality assurance. Assuring quality on a bridge deck overlay project should begin in the design phase and continue after the construction is completed. Quality should be the concern of everyone involved-owner, designer, and contractor.

• The Transactions of the Korea Information Processing Society
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• v.6 no.2
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• pp.315-325
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• 1999

Indexing techniques for distributed resources have much effect on an information service system based on distributed environment like digital library. There is a centralized indexing technique, a distributed technique, and a mixed technique for distributed indexing techniques. In this paper, we propose new distributed indexing technique using EIF(extended Inverted File) structure that mix the centralized technique and t도 distributed technique. And we propose management techniques using EIF structure and retrieval technique using EIF structure. This distributed indexing technique proposed is able to fast process retrieval request and reduce network overload and select servers relevant to query terms. This paper investigated performance of a proposed distributed indexing technique.

• Land and Housing Review
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• v.3 no.2
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• pp.137-146
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• 2012

Within twenty years, Permanent Affordable Housing provided for people's security of housing in late 1980's yields the principles of equity with tenant's in new one supplied, thus being confronted by the requirements that existing welfare service for tenants should be improved. Reflecting on these, this study means to prepare the basic data for the welfare policy as applying welfare service types on basis of housing locational characteristics, tenants tier compared with welfare service needs of permanent affordable housing tenants. For achieving this aim, the range and mixed use mechanism of welfare service are investigated as reviewing the related research and findings. Based on this investigation, 7 types of welfare service(Independence, Half-support, Child care, Juvenile, Self-support, Social-mix, and Single household) are established. On the analysis of survey, the welfare service needs are investigated as grouping with locational characteristics and survey target. In addition, the welfare service types are reorganized by analysis of tenant's demographic and locational characteristic on each housing and are compared with tenants needs. Although, the demographic of permanent affordable housing generally shows that the tenants are constituted with aged people, the housing with high ratio of children and juvenile can be applied with Child Care type and Juvenile type. As a result of comparison, the ratio of independence type, juvenile type, and single household type are more on the large housing and housing on metropolitan area, and the ratio of half-support type and child care type are more on the small housing and housing on small city area.

• Journal of the Korea Concrete Institute
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• v.27 no.4
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• pp.419-426
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• 2015

The purpose of this study is to investigate experimentally the optimum mix design and site application case of soil mixing wall (SMW) method which is cost-effective technique for construction of walls for cutoff wall and excavation support as well as for ground improvement before constructing LNG storage tank typed under-ground. Considering native soil condition in site, main materials are selected ordinary portland cement, bentonite as a binder slurry and also it is applied $1,833kg/m^3$ as an unit volume weight of native soil, Variations for soil mixing wall are as followings ; (1) water-cement ratio 4cases (2) mixing velocity (rpm) 3levels (3) bleeding capacity and ratio, compressive strength in laboratory and site application test. As test results, bleeding capacity and ratio are decreased in case of decreasing water-cement ratio and increasing mixing velocity. Required compressive strength (1.5 MPa) considering safety factors in site is satisfied with the range of water-cement ratio 150% below, and test results of core strength are higher than those of specimen strength in the range of 8~23% by actual application of element members including outside and inside in site construction work. Therefore, optimum mix design of soil mixing wall is proposed in the range of unit cement $280kg/m^3$, unit bentonite $10kg/m^3$, water-cement ratio 150% and mixing velocity 90rpm and test results of site application case are satisfied with the required properties.

• Journal of Preventive Medicine and Public Health
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• v.33 no.4
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• pp.393-401
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• 2000

Objectives : To evaluate the impacts of the DRG payment system on the behavior of medical insurance claimants. Specifically, we evaluated the case-mix index, the numbers of diagnosis and procedure codes utilized, and the corresponding rate of diagnosis codes before, during and after implementation of the DRG payment system. Methods : In order to evaluate the case-mix index, the number of diagnosis and procedure codes utilized, we used medical insurance claim data from all medical facilities that participated in the DRG-based Prospective Payment Demonstration Program. This medical insurance claim data consisted of both pre-demonstration program data (fee-for-service, from November, 1998 to January, 1999) and post-demonstration program data (DRG-based Prospective Payment, from February, 1999 to April, 1999). And in order to evaluate the corresponding rate of diagnosis codes utilized, we reviewed 820 medical records from 20 medical institutes that were selected by random sampling methods. Results : The case-mix index rate decreased after the DRG-based Prospective Payment Demonstration Program was introduced. The average numbers of different claim diagnosis codes used decreased (new DRGs from 2.22 to 1.24, and previous DRGs from 1.69 to 1.21), as did the average number of claim procedure codes used (new DRGs from 3.02 to 2.16, and previous DRGs from 2.97 to 2.43). With respect to the time of participation in the program, the change in number of claim procedure codes was significant, but the change in number of claim diagnosis codes was not. The corresponding rate of claim diagnosis codes increased (from 57.5% to 82.6%), as did the exclusion rate of claim diagnosis codes (from 16.5% to 25.1%). Conclusions : After the implementation of the DRG payment system, the corresponding rate of insurance claim codes and the corresponding exclusion rate of claim diagnosis codes both increased, because the inducement system for entering the codes for claim review was changed.

• Journal of Society of Preventive Korean Medicine
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• v.20 no.2
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• pp.27-38
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• 2016

Backgrounds : Taiwan has similar national health insurance (NHI) system for traditional medicine with South Korea. Recently, new quality improvement policies for traditional medicine is being attempted in Taiwan. Objectives : This study aimed to review the Taiwanese NHI system for Chinese Medicine (CM) and introduce quality improvement policies. Methods : Research articles, reports, government publications and year books which handled traditional medicine system and NHI system in Taiwan were searched and collected. The authors analyzed and summarized the contents in a qualitative manner. Results : In Taiwanese NHI system, CM procedures and medication for outpatients are reimbursed through a mix of fee-for-service and global budget payment system. CM shares 4% of total expenditure of NHI in Taiwan. Mostly, the expenses for procedures are reimbursed regardless of disease type, however, in the specialized program for quality improvement, CM doctors have to comply with standard operating procedures (SOPs). Conclusions : Taiwanese NHI system implemented SOP-based new reimbursement system for CM. Yet, the scientific evidences for SOPs are not sufficient, it can be useful references when we develope disease related reimbursement system for Korean Medicine in South Korea.

• Journal of Preventive Medicine and Public Health
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• v.18 no.1
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• pp.41-50
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• 1985

To find out the differences in medical practice according to the environment of patient care and managerial situation of the medical care institutions, normal spontaneous vaginal delivery and acute appendicitis were selected, which is suitable for comparison because of their high comparability. A total of 473 cases of normal spontaneous vaginal delivery and 408 cases of acute appendicitis was sampled from the claims to Korea Medical Insurance Cooperations during January to June 1984. Complicated cases were excluded from population and sampling was restricted from 40 to 60 percentile for total charges by the type of medical care facility in order to rule out the influence originating from case mix. Important items representing type and quantity of medical care service were compared by type of facility. Major findings are as follows : 1. University hospital shows the highest in charges per case and decrease in order of general hospital, and clinic. 2. In case of normal spontaneous vaginal delivery, average length of stay shows statistically significant difference by type of facility. 3. Charge amount for each service item affected by practice pattern shows statistically significant difference mostly by type of facility. It is suggested that medical practice pattern is different by type of facility for medical services. 4. Difference in total medical expenditure by type of facility is affected more with charges for materials, consumables and drugs than with fee for service activity. 5. In administering drugs to patients, hospital and clinic show higher injection rate than university and general hospital. 6. Clinical Laboratory tests were common in order of uninalysis, hemoglobin, hematocrit, white blood cell count, urine microscopic examination in cases of normal spontaneous vaginal delivery; white blood cell count, urinalysis, hemoglobin, hematocrit, urine microscopic examination, white blood cell differential count, in cases of acute appendicitis. 7. The result for Laboratory test and Radiologic study shows extreme difference by type of facility. Test rate is lowest in clinic and increase hospital, general hospital, and university hospital in order, both in type and frequency.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2003.05a
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• pp.223-230
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• 2003

KCTA(Korea Container Terminal Authority) is going to introduce automated operating system in the port of Gwangyang container terminal to enhance the efficiency. Prior to developing the container terminal, defining the objective of container terminal operation is essential. This research used AHP technique to define the operation objective of automated container terminal objectively, and the questionnaire to collect the opinions of future customer, operator and research institution. The objectives mix of the automated container terminal are composed of the minimization of initial investments, the minimization of operational expenses, the performance of automation system, the raising of operation efficiency and productivity and the improvement of customer service. The result of the analysis revealed that most important factor among objectives mix was “the minimization of operation expense”. Especially, the user group preferred to select the factor of “the improvement of customer service”as objective rather than select other objectives. The result of this research will suggest some guidelines for deciding the level of investment of terminal construction. information system, automation equipment, terminal worker and etc., which are to be considered in terminal development and the system development hereafter.

• Journal of the Korea institute for structural maintenance and inspection
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• v.20 no.4
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• pp.128-135
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• 2016

In the current concrete structure of the highway is still the major problem most of concrete deterioration caused by the freeze-thaw and deicing salt, which is of issues that are not completely resolved. In particular, a single freezing event does not cause much harm, durability of concrete under multi-deterioration environment by repeated freeze-thaw and deicing salt is rapidly degraded and reduce its service life. In this study, the exposure environmental condition according the regional highway points were established. The damage condition and chloride content of the concrete at general and severe environmental exposure condition were also investigated. In addition, the experimental test of chloride ion permeability, scaling resistant and freeze-thaw resistance were carried out to improve the durability of the mechanical placing concrete of subsidiary structure. According to the results of this study, in observation of concrete surface condition, the concrete exposed by severe environmental condition showed broad ranges of damage with high chloride contents. Meanwhile, the water-binder(W/B) ratio and the less water content, and fly ash concrete than the specified existing mix proportion is significantly improved the durability. Also, the optimal mix proportion derived for test is satisfied the strength and air contents, water-binder ratio, and durability criteria of concrete specifications, as well as service life seems greatly improved.

• Health Policy and Management
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• v.5 no.2
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• pp.35-69
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• 1995

The managerial environment of hospitals in Korea characterized by low levels of medical insurance fees is worsening by increasing government regulations as to the utilization of medical services, rising costs of labor, material, and medical equipments, growing patient expectations concerning the quality of services, and escalating competitions among large hospitals in the market. Hospitals should seek for their survival strategies in this harsh environment and they should have information about costs of their products in doing so. However, it has not been available due to the complexity of the production process of hospital services. The objectives of this study were to develop a service-based cost accounting model and to apply the developed model to a study hospital to obtain cost information of hospital services. A model commonly used for the job-order product cost accounting in the manufacturing industry was modified for the use in hospitals in Korea. Actual costs, instead of standard costs, incurred to produce a unit of services during a given period of time were estimated in the model. Data required to implement the model included financial information, statistics for the allocation of supportive cost center costs to final cost centers, statistics for the allocation of final cost center costs to services, and the volume of each services charged to patients during a study period. The model was executed using data of a university teaching hospital located in Seoul for the fiscal year 1992. Data for financial information, allocation statistics fo supportive service costs, and the volume of services, most of them in electronic form, were available to the study. Data for allocation statistics of final cost center costs were collected in the study. There were 15 types of evaluation and management service, 2, 923 types of technical service, and 2, 608 types of drug and material service charged to patients in the study hospital during the fiscal year 1992. Labor costs of each of seven types of pesonnel, material costs of 611 types of drugs and materials, and depreciation costs of 212 types of medical equipments, miscellaneous costs, and indirect costs incurred in producing a unit of each services were estimated. Medical insurance fees for basic services such as evaluation and management of inpatients and outpatients, injection, and filling prescriptions, and for operating procedures were found to be set lower than costs. Infrequent services which use expensive medical equipments showed negative revenuse as well. On the other hand, fees for services not covered by the insurance such as CT, MRI and Sonogram, and for laboratory tests were higher than costs. This study has a significance in making it possible for a hospital to obtain cost information for all types of services which produced income based on all types of expenses incurred during a given period of time. This information can assist the management of a hospital in finding an effective cost reduction strategy, an efficient service-mix strategy under a given fee structure, and an optimum strategy for within-hospital resource allocations.